Current concepts regarding pharmacologic treatment of rheumatoid and osteoarthritis

K S Wildy1, M C Wasko

  • 1Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Hand Clinics
|August 2, 2001
PubMed

Insights

New treatments for osteoarthritis (OA) and rheumatoid arthritis (RA) offer improved quality of life. Cyclooxygenase-2 inhibitors and novel agents provide better disease control and pain relief with potentially fewer side effects.

Area of Science:

  • Rheumatology
  • Pharmacology

Background:

  • Osteoarthritis (OA) and rheumatoid arthritis (RA) present significant treatment challenges.
  • Traditional nonsteroidal anti-inflammatories (NSAIDs) are common but can have side effects.
  • Advancements in understanding RA pathophysiology have spurred new therapeutic strategies.

Purpose of the Study:

  • To review current and emerging treatment options for OA and RA.
  • To highlight the benefits of cyclooxygenase-2 (COX-2) inhibitors as an alternative to traditional NSAIDs.
  • To discuss novel therapeutic agents and strategies for managing RA.

Main Methods:

  • Literature review of pharmacological treatments for OA and RA.
  • Analysis of current treatment guidelines and emerging research.
  • Evaluation of the efficacy and safety profiles of new therapeutic agents.

Main Results:

  • Cyclooxygenase-2 (COX-2) inhibitors offer pain relief for OA and RA patients with a potentially improved side effect profile compared to traditional NSAIDs.
  • Topical agents, injections, and supplements are alternative options for OA management.
  • Biologic agents, combination therapy, and leflunomide have significantly improved disease control in RA.

Conclusions:

  • Novel therapeutic agents and strategies are expanding treatment possibilities for OA and RA patients.
  • COX-2 inhibitors represent a valuable alternative for pain management in both conditions.
  • Advances in RA treatment offer greater potential for disease control and improved patient outcomes.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel Disease...
Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...